KevinRoot Medical

Compliance and reimbursement pearls | KevinRoot Medical

Compliance and reimbursement pearls

Monthly column on billing and coding issues important to orthotic providers. These columns will provide you with a brief but thorough rationale on orthotic/prosthetic policies and billing practices.

31 Topics 0 Followers

SWO Do I need one
1/17/24, 10:05 AM • Paul Kesselman 1/17/24, 10:05 AM

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1
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122
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Paul Kesselman
1/17/24, 10:05 AM

Several colleagues have recently been hit with audit denials for an incomplete or absent Standard...
Virtual Prescribing
1/9/24, 2:10 PM • Paul Kesselman 1/9/24, 2:10 PM

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1
Posts

127
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Paul Kesselman
1/9/24, 2:10 PM

A great question was recently raised as to whether a physician can prescribe an AFO (or any devic...
L5000 coverage
12/13/23, 10:14 AM • Paul Kesselman 12/13/23, 10:14 AM

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1
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675
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Paul Kesselman
12/13/23, 10:14 AM

If a patient is not a diabetic and has a partial foot amputation does Medicare cover a partial fo...
Football and DME
11/29/23, 10:36 AM • Paul Kesselman 11/29/23, 10:36 AM

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206
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Paul Kesselman
11/29/23, 10:36 AM

Often clinicians groan about third party payers and their devious schemes to deny their claims. A...
What does the KX modifier signify and when should I use it?
11/15/23, 1:44 PM • Paul Kesselman 11/15/23, 1:44 PM

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1
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384
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Paul Kesselman
11/15/23, 1:44 PM

The KX modifier is a payment modifier used almost exclusively with HCPCS codes. It signifies to t...
PK

I am getting messages that my CEDI and Tax ID Dont Match
10/25/23, 7:54 AM • Paul Kesselman 10/25/23, 7:54 AM

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172
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PK

Paul Kesselman
10/25/23, 7:54 AM

I am new to Medicare DME and my claims are not processing as I am getting several error messages ...
PK

Can I be paid for an AFO for my patient who recently passed away?
10/4/23, 11:51 AM • Paul Kesselman 10/4/23, 11:51 AM

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138
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Paul Kesselman
10/4/23, 11:51 AM

A common scenario occurs when an order is billing filled, or after being completed but not yet de...
PK

Do I need a contract with KevinRoot and my other vendors?
9/19/23, 8:08 AM • Paul Kesselman 9/19/23, 8:08 AM

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116
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Paul Kesselman
9/19/23, 8:08 AM

As of November 2022, the National Supplier Clearinghouse ceased to exist and the DMEPOS enrolment...
PK

DME Policies for Medicare Advantage (part C) Policyholders
9/6/23, 3:54 PM • Paul Kesselman 9/6/23, 3:54 PM

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154
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Paul Kesselman
9/6/23, 3:54 PM

Medicare Part C plans while legally required to provide coverage to the same services/products as...
PK

Medicare Fee for Service (FFS) DME Policy
8/23/23, 4:06 PM • Paul Kesselman 8/23/23, 4:06 PM

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102
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Paul Kesselman
8/23/23, 4:06 PM

Unlike local FFS Medicare, which often have different Local Coverage Determinations (LCD), all fo...
Biling Orthotic and Prosthetics of the Lower Extremity
8/2/23, 9:24 AM • Paul Kesselman 8/2/23, 9:24 AM

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246
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Paul Kesselman
8/2/23, 9:24 AM

I am delighted that KevinRoot Medical have invited me to provide a twice monthly column on billin...

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Practical Pearls »
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Compliance and reimbursement pearls »
L1952 vs L1951

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Hours or by appointment

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Orthotic Control of Over Pronated Forefoot

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Compliance and reimbursement pearls
Hours or by appointment

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Compliance and reimbursement pearls

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Compliance and reimbursement pearls

SWO Do I need one
1/17/24, 10:05 AM • Paul Kesselman 1/17/24, 10:05 AM

Virtual Prescribing
1/9/24, 2:10 PM • Paul Kesselman 1/9/24, 2:10 PM

L5000 coverage
12/13/23, 10:14 AM • Paul Kesselman 12/13/23, 10:14 AM

Football and DME
11/29/23, 10:36 AM • Paul Kesselman 11/29/23, 10:36 AM

What does the KX modifier signify and when should I use it?
11/15/23, 1:44 PM • Paul Kesselman 11/15/23, 1:44 PM

I am getting messages that my CEDI and Tax ID Dont Match
10/25/23, 7:54 AM • Paul Kesselman 10/25/23, 7:54 AM

Can I be paid for an AFO for my patient who recently passed away?
10/4/23, 11:51 AM • Paul Kesselman 10/4/23, 11:51 AM

Do I need a contract with KevinRoot and my other vendors?
9/19/23, 8:08 AM • Paul Kesselman 9/19/23, 8:08 AM

DME Policies for Medicare Advantage (part C) Policyholders
9/6/23, 3:54 PM • Paul Kesselman 9/6/23, 3:54 PM

Medicare Fee for Service (FFS) DME Policy
8/23/23, 4:06 PM • Paul Kesselman 8/23/23, 4:06 PM

Biling Orthotic and Prosthetics of the Lower Extremity
8/2/23, 9:24 AM • Paul Kesselman 8/2/23, 9:24 AM

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Latest topics

Orthotic Control of Over Pronated Forefoot

L1952 vs L1951

Hours or by appointment

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Orthotic Control of Over Pronated Forefoot

L1952 vs L1951

Hours or by appointment

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Robert Shor

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Compliance and reimbursement pearls

SWO Do I need one 1/17/24, 10:05 AM • Paul Kesselman 1/17/24, 10:05 AM

Virtual Prescribing 1/9/24, 2:10 PM • Paul Kesselman 1/9/24, 2:10 PM

L5000 coverage 12/13/23, 10:14 AM • Paul Kesselman 12/13/23, 10:14 AM

Football and DME 11/29/23, 10:36 AM • Paul Kesselman 11/29/23, 10:36 AM

What does the KX modifier signify and when should I use it? 11/15/23, 1:44 PM • Paul Kesselman 11/15/23, 1:44 PM

I am getting messages that my CEDI and Tax ID Dont Match 10/25/23, 7:54 AM • Paul Kesselman 10/25/23, 7:54 AM

Can I be paid for an AFO for my patient who recently passed away? 10/4/23, 11:51 AM • Paul Kesselman 10/4/23, 11:51 AM

Do I need a contract with KevinRoot and my other vendors? 9/19/23, 8:08 AM • Paul Kesselman 9/19/23, 8:08 AM

DME Policies for Medicare Advantage (part C) Policyholders 9/6/23, 3:54 PM • Paul Kesselman 9/6/23, 3:54 PM

Medicare Fee for Service (FFS) DME Policy 8/23/23, 4:06 PM • Paul Kesselman 8/23/23, 4:06 PM

Biling Orthotic and Prosthetics of the Lower Extremity 8/2/23, 9:24 AM • Paul Kesselman 8/2/23, 9:24 AM

FORUM CATEGORIES

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Latest topics

Orthotic Control of Over Pronated Forefoot

L1952 vs L1951

Hours or by appointment

Latest posts

Orthotic Control of Over Pronated Forefoot

L1952 vs L1951

Hours or by appointment

Forum statistics

Newest members

Patrickdom Patrickdom

semwere semwere

Foamqmj Foamqmj

Artisanwsi Artisanwsi

Jack Smith

Most liked authors

Richard Blake

Stefan Feldman

Lucy Best

Paul Kesselman

Paul Kesselman

Robert Phillips

Eddie Davis

tommen freed

Dr. Ben Pearl

Robert Shor

SWO Do I need one
1/17/24, 10:05 AM • Paul Kesselman 1/17/24, 10:05 AM

Virtual Prescribing
1/9/24, 2:10 PM • Paul Kesselman 1/9/24, 2:10 PM

L5000 coverage
12/13/23, 10:14 AM • Paul Kesselman 12/13/23, 10:14 AM

Football and DME
11/29/23, 10:36 AM • Paul Kesselman 11/29/23, 10:36 AM

What does the KX modifier signify and when should I use it?
11/15/23, 1:44 PM • Paul Kesselman 11/15/23, 1:44 PM

I am getting messages that my CEDI and Tax ID Dont Match
10/25/23, 7:54 AM • Paul Kesselman 10/25/23, 7:54 AM

Can I be paid for an AFO for my patient who recently passed away?
10/4/23, 11:51 AM • Paul Kesselman 10/4/23, 11:51 AM

Do I need a contract with KevinRoot and my other vendors?
9/19/23, 8:08 AM • Paul Kesselman 9/19/23, 8:08 AM

DME Policies for Medicare Advantage (part C) Policyholders
9/6/23, 3:54 PM • Paul Kesselman 9/6/23, 3:54 PM

Medicare Fee for Service (FFS) DME Policy
8/23/23, 4:06 PM • Paul Kesselman 8/23/23, 4:06 PM

Biling Orthotic and Prosthetics of the Lower Extremity
8/2/23, 9:24 AM • Paul Kesselman 8/2/23, 9:24 AM